van den Berg Bellis, Reijmer Yael, Kee Karin, Nies Henk, Beersma Bianca, Zondervan-Zwijnenburg Mariëlle
Vilans, National Center of Excellence for Care and Support, Utrecht, Netherlands.
Department of Organization Sciences, Vrije Universiteit Amsterdam, Amsterdam, Netherlands.
J Health Organ Manag. 2025 Apr 1;39(9):210-227. doi: 10.1108/JHOM-03-2024-0085.
This study aims to examine how care professionals of different occupational groups perceive organizational conditions for voice behavior and whether these conditions are related to job satisfaction and retention as was experienced at nursing home (NH) facilities.
DESIGN/METHODOLOGY/APPROACH: An online survey study was conducted among care professionals, (middle) managers and policy officers of 175 Dutch nursing home (NH) facilities ( = 3,932 respondents). Data were collected between November 2020 and January 2022. Organizational conditions were clustered into four categories: dealing with incidents, formal opportunities, supportive management and teams' improvement orientation.
Certified nurse assistants (CNAs) and registered nurses (RNs) were more critical about the organizational conditions than other respondents from the same NH facility. Linear mixed effect models showed that organizational conditions were positively related to job satisfaction and perceived employee retention ( < 0.001). Hierarchical multiple regression models show that "teams' improvement orientation" and "supportive management" are strong independent predictors of job satisfaction and perceived employee retention ( < 0.001).
It is important that leaders realize that their own perspectives may not correspond with those of frontline care workers. This emphasizes the importance of capturing different perspectives on organizational conditions and the important role of middle managers who are in the position to create stimulating working environments to retain care professionals for NH care.
ORIGINALITY/VALUE: This study has the unique opportunity to examine the relation between organizational conditions and job satisfaction among different occupational groups in Dutch NHs. Showing that care professionals were considerably more critical about the conditions and their job satisfaction compared to management and policy officers.
本研究旨在探讨不同职业群体的护理专业人员如何看待发声行为的组织条件，以及这些条件是否与养老院设施中所体验到的工作满意度和留任意愿相关。
设计/方法/途径：对175家荷兰养老院设施的护理专业人员、（中层）管理人员和政策官员进行了一项在线调查研究（n = 3932名受访者）。数据收集于2020年11月至2022年1月之间。组织条件被分为四类：处理事件、正式机会、支持性管理和团队的改进导向。
与同一养老院设施的其他受访者相比，注册护士助理（CNA）和注册护士（RN）对组织条件更为挑剔。线性混合效应模型表明，组织条件与工作满意度和感知到的员工留任意愿呈正相关（p < 0.001）。分层多元回归模型表明，“团队的改进导向”和“支持性管理”是工作满意度和感知到的员工留任意愿的强有力的独立预测因素（p < 0.001）。
领导者必须认识到他们自己的观点可能与一线护理人员的观点不一致。这凸显了获取对组织条件的不同观点的重要性，以及中层管理人员在创造激励性工作环境以留住养老院护理专业人员方面的重要作用。
原创性/价值：本研究有独特的机会来考察荷兰养老院不同职业群体中组织条件与工作满意度之间的关系。表明与管理人员和政策官员相比，护理专业人员对条件及其工作满意度的批评要多得多。
